| Cmc Dept Of Medicine Group Pa | |
|
14 S Broadway Gloucester City NJ 08030-1706 | |
| (856) 456-0518 | |
| (856) 456-4359 |
| Full Name | Cmc Dept Of Medicine Group Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 14 S Broadway, Gloucester City, New Jersey |
| Authorized Official Name and Position | Robert Mcmullen (EVP MANAGED CARE) |
| Authorized Official Contact | 8563422921 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cmc Dept Of Medicine Group Pa 3 Cooper Plz Suite 502 Camden NJ 08103-1438 Ph: (856) 342-2921 | Cmc Dept Of Medicine Group Pa 14 S Broadway Gloucester City NJ 08030-1706 Ph: (856) 456-0518 |
| NPI Number | 1518184811 |
|---|---|
| Provider Enumeration Date | 04/19/2007 |
| Last Update Date | 05/05/2009 |
| Medicare PECOS PAC ID | 2163335878 |
|---|---|
| Medicare Enrollment ID | O20040420000916 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518184811 | NPI | - | NPPES |
| 2821317000 | Other | NJ | AMERIHEALTH GRP# |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
| Provider Name | Elizabeth A Siegert |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1255437182 PECOS PAC ID: 3072598499 Enrollment ID: I20040621001110 |
| Provider Name | Rama R Sudhindra |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1164413076 PECOS PAC ID: 5799798757 Enrollment ID: I20120323000519 |
Dr. Irving J. Klein,pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 237 Monmouth St, Gloucester City, NJ 08030 Phone: 856-456-0400 Fax: 856-456-3011 | |
Cooper Physician Offices Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 14 South Broadway, Gloucester City, NJ 08030 Phone: 856-456-0518 Fax: 856-456-4359 | |
Edward L. Lundy, D.o. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1017 Market St, Gloucester City, NJ 08030 Phone: 856-456-1042 Fax: 856-546-4896 | |
Community Chiropractic Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 357 Greenwood Ave, Gloucester City, NJ 08030 Phone: 856-742-0584 | |
Steven Klein Do Mph Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 104 S Broadway, Gloucester City, NJ 08030 Phone: 856-456-3888 Fax: 856-456-6444 |